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0068 LONGVIEW DRIVE - Health
68 Longview°rive, Hyannis P A = 251 071001 f a v a I D y� s TOWN OF BARNSTABLE LOCATION G e z9/'/✓/: SEWAGE# VILLAGE,, zy-ko ei51- ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.,SOS-yZ0-9�38 �Os�/�l d1�i�rvoS SEPTIC TANK CAPACITY /5-00 j LEACHING FACILITY:(type) 3'S`OD e!fA4,,165VY'(size) �3 3•NO.OF BEDROOMS / OWNER Mle-419jgL �I^A6GIL'R/Ck.S PERMIT DATE: 7—j7 & COMPLIANCE DATE: 7—,2 S Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) / Feet FURNISHED BY Z4. �:�/Ll n c� e 0 AF- � to � a N CA W p4, :C y 4 . 1 'J s No. 1 ^��S y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes am_ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpYitationc for Disposal *pstem Construction 3permit Application for a Permit to Construct( ) Repair(Gy-Upgrade(4-Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.6$ Vd/ Gv Ort 1//+ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2 -1. 7 Installer's Name Address,and Tel.No.,f G$—y20 p 738 Designer's Name,Address,and Tel.No.spas, %6 y—O 3PY Jost k ' ti (3,aHHD.S ,tEC'O—T�G'f1 ,P W1114 T 4h4rh*�, g 0 6G Type of Building: Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) yyo gpd Design flow provided IVY6 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) m v ,vlf¢ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ed Date ZO! Application Approved by Date /S ! Application Disapprove Date for the following reasons Permit No. ��,y— ZZaDate Issued �j�r�� t 3CQ - No.ZoPi ZS Fee / 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ;?lppfltation for Misposal 6pstem construttlon Permit Application for a Permit to•Construct( ) Repair(y'Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot NoZ G L r��Cf I///s u/ U�� //= Owner's Name,Address,and Tel.No. Assessor's Map/Parcel z "/- 7 �/ /"/'s �/cffrr� /-fir /=✓/� S rL /_ Iy tallei s Name Addre s,and Tel.No. �/2 0- y 7 5 ` Desi ner's Name,A dress,and Tel.No.5 -7i_C�/ 77%27 �/�ii FA14?"w 1i21�G Type of Building: DwellingNo.of Bedrooms Lot Size sq.fl. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.roquired) yL ) gpd Design flow provided qL 6 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type•of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1_2w/ r - Date last inspected: Agreement:. ZZ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ed Date Application Approved by Date Application Disapprove y Date for the following reasons Permit No. U I Zze � Date Issued ------------------------------------------ - - --------- -_ ---------- -------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS `BARNSTABLE,MASSACHUSETTS Certifitate of Compfiante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(G-) Upgraded Abandoned( )by ✓Uj 2y/, V,- d,47rl-C,-) f at� G LvUIC1 I///:Gr/ v/: C� n/ 1 'V/1//� has been constructed in accordance with the provisions of Title??5 and the for Disposal System Construction Permit No.2-0 dated �/ ?;O/y Installer, %`^ /✓G .3f y^J'ri J Designer %C U - Tr- #bedrooms y Approved esig flow L-N 0 / gpd l The issuance of this pe 7�yl of o stru d as a guarantee that;tlie system o si ed./� f I Date 4 InspectorsM w/ m/jd1140L No. ZD114-.20 A- a Fee / aJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construttion permit Permission is hereby granted to Construct( ) Repair(L..-) Upgrade(L/ Abandon( ) System located at 49 L v dl ' 1�/!-6C/ &/'t v/- and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her mply with I Title 5 and the following local provisions or special conditions. Provided:C ns_ ction must be completed within three years of the date of this permit. Date 7 I y 20 y Approved by r Town of Barnstable Department of Regulatory Services ? t Public Health Division Date'1 ( 12d �p ts39 ♦ 200 Main Street,Hyannis MA 02601 . rEl1 tutA'1� r OKI— SoilDate Scheduled Time Fee Pd.M tabzlity Assessment for ,SPl e s Performed By: Witnessed By: t'7LOCATION&GENERAL INFORMATON Location Address �� y��t, �r 9 f i Owner's Name Cet Yr¢1�` �re� GICf Address Assessor's Map/Parcel: ` 271 `7I`'1 Engineer's Name Dt#4(:, o4 6.1 67"W1 NEW CONSTRUCTION REPAIR Telephone# Land Use )ayi-t 67kfA1Rlt0WV_ Slopes(96) Surface Stones 011 Distances from: Body �00 Open Water t t�� p y ft- Possible Wet•Area ft Drinking Water Well L 0 + ft Dralnage Way �� ft Property Line lot ft Other ft SIC CTCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands{n proximity bolts P ty to ) < C tom;-SG �v G)T 57• SS' u7 o Parent material(geologic) r jv q�91 ovtV► 4 Depth to Sedroelt_ �e Depth to Groundwater. Standingin Hole: O h Water Weeping thin Pit Face Estimated Seasonal High Groundwater_,19reO-,r 1 ne1�j tb4- 1t►i c4es DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: d►1 oi�'Ps Depth Observed standing in obs.hole: dlone c44 114 - In, Depth to soil mottles: Vlo.ae Depth to weeping from side of obs,hole: in, Groundwater Adjuatmont ft. Index Well# Reading Date: Index Well level _ Adj.factor- Adj.Groundwater Level,,,,e, _ PERCOLATION TEST- DiaaG113lz_0IA_I1tne 6O AM Observation Hole# IQ Time at h" V1 Depth of Perc S " h . Time at 6" Start Pre-soak Time @ 0-00 Time(9"-611) End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed e5 Site Falled:_ N Additional Testing Needed(Y/N) Original: Public Health Division ,>: ' Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,.Stones;Boulders. onsistency.% Oyel) 0-00 A Say ImP4 NOge Fr1'9W C6-Zea Sqh� ld 4P_ 13l6 2$ Mit�sth�. 2, �fj `t Loos )BEEP OBSERVATION HOLE LOG Hole# 2— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders, Qnsistency,% ra w L m 5 oq R�1a�1 � � /� Fvtgblc� 2$-f 64 G NIr°di ul� 2.S �� tl use DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Cons' e Flood Insurance Rate Man: Above 500 year flood boundary No— Yes "Within 500 year boundary No V, Yes _ Within 100 year flood boundary No.,I Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? e5 _— i If not,what is the depth of baturally occurring pervious material's Ceftification I certify that on fad 1�as (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required t raining,expertise and experience described in�10 CMR 15.017. Signature T Y ( Date 3 Vle 10 t 20 1 QASEPTICtPERCPORM.DOC 'T'own'd Barnstable E SHE T Regt>!lata>i-3� Services O hZich-,u°cl V, Scali,Interim Director j • HARYSTATILE. • - MASS. a Public:Health.Division i639. `gym �rsom a Thomas McKean,Director 2.00 1lain Street, Hyannis, MA 02601 Office: 08-862-=1644 Fax: 50S-790-6304 Installer & Designer Certification Form ZN4 Date: Sewage 1'erm:it# :assessor's Nlap\P;z -eel 2S( 7! Designer: D61VI A,_CO(/g4AY1 et�t'-' Installer. Address: S SS GV F�Yier So h Address: On was issued a permit to install a (date) (installer) septic system at �'� LOI,.ilrQw �.r- based on a design drawn by t� (address), 0 V ( y�`/COr1 P)Pw K elated W U:J, 2-0, 2:© l q (designer) �I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if rerluired) was inspected and the soils vwere found satisfactory. I certify that the septic system referenced above yeas installed with major changes (i.e. greater than I W lateral relocations of the SAS or an), vertical relocation of any component of the septic systcm) but in accordance with State &focal Regulations. Plan revision or certified as-built by desie'ner to follow. Strip out (If'required) was Inspected and the soils were found satisfactory. I certify that the system referenced above was consCructc pp�;, a ice with the terms of the RA approval letters(if applicable:) ti" 'a � D NID � D. `a COU.GHANOWR (It staller's Si{onature) _ No. 1093 .. D a (Designci s Sionature) (Affix Design "m. lamp Here) PLEASE RETURN TO BAIRNSTAI3LIs PUBLIC IIENUR :DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORNI AND AS BUILT CARD ARE RECEIVED BY r.fIE BARNS` NBLP PUBLIC IICALTH DTVISION. TII.ANK YOU. tl;lSepticlDcsi_nerCertification Form Re\:4-11-1'.i.dac Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Hyannis (Assessor) -Gentervi+le-( a+l+lg) MA 02632 September 10 2013 required for every _Y � p , page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information , on the computer, _ use only the tab 1. Inspector: (,o key to move your O cursor-do not _David D. Coughanowr, IRS use the return Name of Inspector key. Eco-Tech Environmental rob Company Name 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State Zip Code 508 364-0894 1328 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes .❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority C / lti,•xti-- September 10, 2013 Inspector's Signature Date The system inspector shall submit a copy of this.inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 03 t5ins•3/13 Title 5 Official Inspection For :S urface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is required for every Hyannis (Assessor) Centerville (mailing) MA 02632 September 10, 2013 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Inspector's Note==> The septic system described herein is deemed to pass this Real Estate Transfer Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-5. The scope of this inspection is limited to health and environmental compliance and the septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. DO NOT DRIVE VEHLICES OF ANY SORT NEAR CESSPOOLS. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of.Massachusetts W Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments wM 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is required for every Hyannis (Assessor) Centerville (mailing) MA 02632 September 10, 2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or breakout or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of.Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Hyannis(Assessor) Centerville (mailing) MA 02632 September 10, 2013 required for every p page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank:and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank:and SAS and the SAS is within 50 feet of a private water supply I well. ❑ The se system has a tic tank and SAS and the SAS is less than 100 feet but 50 feet or Y P more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, far fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"'to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is required for every Hyannis (Assessor) Centerville(mailing) MA 02632 September 10, 2013 page. City(rown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- ❑. ® 10,000gpd. } ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the'Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,.you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. . Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet ofa tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 . e Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is ) Centerville (mailing)required for every Hyannis Hy Assessor Ctille MA 02632 September 10 2013 p page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volt;mes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ❑ ® Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): n\a Number of bedrooms (actual): 3-4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a- no plan t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information isequired or every Hyannis (Assessor) Centerville (mailing) MA 02632 September 10, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: A repair permit for a 4 bedroom septic system was issued by the Barnstable Board of Health on June 17, 1980 ( permit#80-279). 4 Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): 139 gpd Detail: 2011-2012 Sump pump? ❑ Yes ® No' Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203)- Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? _ ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Hyannis Assessor Centerville (mailing) MA 02632 September 10, 2013 required for every Y (Assessor) ( 9) p page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: owner Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is every Hyannis Assessor required for eve Y (Assessor) Centerville (mailing) MA 02632 September 10, 2013 page. CitylTown State Zip Code Date of Inspection D. System Information-(cont.) Approximate age of all components, date installed (if known) and source of information: Age of two primary cesspools unknown. An overflow cesspool was added in 1980. Were sewage odors detected when arriving at the site? ❑ Yes 0 No Building Sewer(locate on site plan): -Depth below grade: 2 feet Material of construction: ® cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Sewer lines appear structurally sound with no evidence of leakage or backup into dwelling. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age:' years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Hyannis Assessor Centerville (mailing) MA 02632 September 10, 2013 required for every y (Assessor) ( 9) p page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet inver, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal Systam•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Assessor Hyannis required for every _y (Assessor) Centerville (mailing) MA 02632 September 10, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: • a Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: bate ' Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Hyannis Assessor Centerville (mailing) MA 02632 September 10 2013 required for every Y (Assessor) ( g) p + page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan;: Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is A i Hyanns(Assessor) Centerville man MA required for every ( ) Ctill (mailing) 02632 September 10, 2013( p page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of•hydraulic failure, level of pondung, damp soil, condition of vegetation, etc.): Soils above overflow cesspool (CP-3) appear unsaturated. No evidence of surface ponding, breakout, lush vegetation, or other evidence of hydraulic failure was observed. Camera inspection showed approximately 3 feet of capacity remaining below inlet pipe. No discernable staining above liquid level was obseved. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 3-see above for overflow Depth—top of liquid to inlet invert 8 in (CP1) at invert(CP-2) 1 in (CP1) 3 in (CP-2) Depth of solids layer . Depth of scum layer none (CP1) 1 in (CP-2) Dimensions of cesspool 6 ft x 6 ft(approx) Materials of construction concrete block Indication of groundwater inflow ❑ Yes ® No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is Hyannis Assessor Centerville (mailing) MA 02632 September 10 2013 required for every _Y (Assessor) ( 9) p , page. City/Town State Zip Code Date of Inspection D. System Information (con:.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Primary cesspools were uncovered and found to be functioning properly. NOTE ON BLOCK CESSPOOLS—Block cesspools consist of concrete blocks arranged in a beehive formation and are held in place by gravity and soil pressure. Driving vehicles over or near block cesspools could potentially destabilize the structure and lead to collapse. DO NOT DRIVE VEHLICES OF ANY SORT NEAR CESSPOOLS. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Mas$-achuset%' _ -�� � `. ifie 5 ffici�i lft e Form, � _- SubsurfaceSewage Disposal;System;For"n - Not for Voluntary Assessments .. 68 LongvibWQrive Propeity Address _ Michael and Kate_Fredericks Owner Owner` Name: _ information is H anhis•. Assessor Cenervrequired far every. ille (mailing A , �S to"tuber 1,0, 201;3i a CItylTown" Stafe.` ";Zip.Co'de Date of Inspection page. - D. System Intorma'tion (cont Sketch.Of Sewage Disposal;System Provide awiew of the sewage dispasaF system; including ties to, at leastawo:permanen't reference landmarks or benchmarks Locate all w`ells'within 100 feet. Locate where public water supply,enters the btitltlng Check one of the boxes:below, hand sketch in the area below. El drawing attached.;separately CP I S D;N V L C U' t5ms' 3N3, Title 5.Ofricial•Inspection Form::Subsria uce Sawade.Disposal System'•Page 15 offQ - Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M a 68 Longview Drive Property Address Michael and Kate Fredericks Owner Owner's Name information is every Hyannis Assessor required for eve Y (Assessor) Centerville (mailing) MA 02632 September 10, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 35+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ® Accessed USGS database-explain: Town of Barnstable GIS Department records You must describe how you established the high ground water elevation: Town of Barnstable GIS Department records indicate that the property is over 35 feet above nearby Lake Weguaguet. Before filing this Inspection Report, please see Report Completeness Checklist on next page: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form „ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 68 Longview Drive Property Address Michael and Kate Fredericks; Owner Owner's Name information isequired or every Hyannis (Assessor) Centerville (mailing) 'MA 02632 September 10, 2013 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 1 t t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 .� COMMONWEALTH OF NMASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 166 -s-nwr ,g-, STASLE DEPARTMENT 0-F L"IMROIi MENTAL ROTECT DER 19 AM 11. 19 ..qi � TI OFI"CUL INSPECTION FORM—.NUT FOR VOLUNTARY,A RSESSWNTS StigSURFACE SEWAQE DISPOSAL SYSTEM IF9 PART A CERTTFICIAAQTI.ON. � .9 sr. � � c b 01 Owner's ri;=#: C'i 4 1.1 C: A 'VC ,� , �� � 2 S I 6 S Date pf Inspection:-. -fT,41 _e _ - = No= -•- Telephone Number:-- 7 l 83. , CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is:true,accurate and complete as of the time of the inspection.The inspection was performed Based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I an a DEP approved system inspector pursuant to Secgon 15-W of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes. Needs Further Evaluation by the Local Approving Authority n actor's Si w Date: �`°� �'►•f 6 01 -Inspector's Signature:g The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEI)within 30 days of completing this inspection_M the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DER The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority- Notes and Comments ****TMs report only describes o ditto at ice:time of nspecti"and under the conditions of use at that This inspection does not address' the system will perform iu the future under the same or different . _.._ time. sp . conditions of use. z Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICA ION (continued) Property Address: wGrS kj e��/ Owner. Q CJ : c o-e, Date of Inspection: az Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ( 1 have not found any information which indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CUR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health;will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.K"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsonnd,exhibits substantial infiltration or exfittration or tank failure is humment System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. G ND explain: Observation of sewage backup or break out or high static water level in the dMribution box due to broken or obstructed pipe(sj or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 tunes a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed K ND explain Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A JJ CERTIFICATION(continued) Property Address: l�� vo o - vl , rS Owner: -VC'F -a @t1J e.r �1,�arG,• 1 /J�r'��+c/L. Date of Inspection: /(14 7 G Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Z. System will fmil unless the Board of Health(and-Public Water Supplier,if any)determines thit the, system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has aseptic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3_ Other. I 'Page 4 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM[ PART A CERTIFICATION(continued) Property A ddress: U �tJ T' -l/e c� Owner. ,�C i �" ^J Date of 'on. 6 D. System Failure Criteria applicable to all systems: You most indicate`des"or"no"to each of the following for all inspections: Yes No . Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than%z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number Of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation- An y portion of cesspool or privy is within 100 feet of a surface water supply or tnIoary to a surface water supply. XArty portion of a cesspool or privy is within a Zone 1 of a public well. � Any portion of a cesspool or privy is within 50 feet of a private water supply well Ate►portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acoepfable water quality analysis,f Ibis system passes if the well water analysis, perform"at a DEP certified laboratory,for coffform bacteria and volatile organic compounds indicates that the well is free from pollution from that facrTify and the presence of ammonia nitrogen and nib-te nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A dopy of the analysis most be attached to this form j fiJ (YMWO)The system furls.I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303,therefore the system Earls.The system owner should contact the Board of" Health to determine what will be necessary to correct the farlme. K -Large Systems: f� dJ To be considered a large sy the system must serve a facility with a design flow of 10,000 gpd to 15,000 You mast indicate either`yes"or"no"to each of the following: ('The following M t M apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ — the system is within 200 feet of a tributary to a surface drinking water supply _ — the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered `�►es"in Section D above the large system has failed.The owner or operator of any large system considered a Page 5 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: A �S Owner. NCB S ,IA J-'e Date of inspection: v J� Check if the following have been done You must indicate"yes"or"no"as to each of the following: Ye-s /No �:1./ pumping information was provided by the owner,occupant,or Board of Health e/Were airy of the system components pumped out in the previous two weeks? Has the system received normal flows in'the previous two week period? L/Have large volumes of water been introduced to the system recently or as part of this inspection 7 Were as built plans of the system obtained and examined?(If they were not available note as N/A) V Was the facility or dwelling inspected for signs of sewage back up? — — j Was the site inspected for signs of break out 7 Were all system componemK excluding the SAS,located on site? _ Were the septic tank manholes.uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of bgwd,depth of sludge and depth of scum? — Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsnrface sewage disposal systems? , The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Ye, • no — _ Existing information.For example,a plan at the Board of Health. _v_ Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of distance is unacceptable)1310 CMR 15.302(3)(b)] P J Page 6 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C QQ SYSTEM INFORMATION Property Address: dG t'--s aC Owner: lxjrf`rLA iAff c Date of Inspection• OW CONDITIONS RESIDENTIAL, Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 3 � Number of current residents: CA Does residence have a garbage grinder(yes or no): N0 Is laundry on a separate sewage system or no) (if yes separate inspection required] Laundry system inspected(yes or no)P S f Seasonal use:(yes or no): A)0 Water meter readings,if available(last 2 years usage(gpd)): /V ©^gel Sump pwnp(yes or no):Qo Last date of occupancy: jo A C.S-"V, COMMERCIAL/INDUSTRIAL � Type of establishment: Design flow(based on 310 CMR 15203): gpd Basis of design flow(seats/persons/sgftetc_): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL�NFORXATION Pumping Records ,�J �cJ�1 /J�J b Source of information: Was system pumped as part of the inspection(yes or no): If yes,volume pumped:_gallons—How was quantity pumdetermined? Reason for pumping. TYPE OF SYSTEM Septic tank,distribution box:soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspections records,if any) _Innovative/Alternabve technology_Attach a copy of the current operation and maintenance contract(to be obtained from system owner) t _Tight tank _Attach a copy of the DEP approval Other(descnbe): 7 Approximate age f date" ed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):AV. Page 7 of 11 OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: iec") P--t C Owner: A-vC c cy P� ,�-►v� f f � � Date of Inspection:_Al A,,'/- A BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:,_lost iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK- locate on site (. Pam) Depth below grade: Material of construction: concrete metal fiberglass_�oIyeth}►lene other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: c to on site plan) Depth below grade:— Material of construction: concrete metal_fiberglass -polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or bale: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,hgmd levels as related to outlet invert,evidence of Ieakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -PART C / SYSTEM INFORMATION(cominued) Property Address: U'I'ecd Owner: ^rG o0 '� /�/•a suG�L f AI-elz. Date of Inspection: TIGHT or HOLDING TANK (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity. gallons Design Flow: --gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: if resent must be ovate on site plan) ( P ��A P ) Depth of liquid level above outlet invert_ Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc): f Page 9 of I1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: /� I)a"4ct) l r �1Owner: Date of Inspection: ' SOIL#BSORPTION SYSTEM(SAS):" (locate on site plan,excavation not required) ~ If AS not located explain why. Type leaching pits,number._ leaching chambers,number. leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovativelalternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS-Call(spool must be pumped as part of inspection)(locate on site plan) Number and configuration: . 1,-1 00 (001`d=J '¢' IJ h9 i f' 6 �GODepth-top of liquid to inlet invert: -1°v d�� 7C����'�/ �l� /'`-e S o,.j o'� Depth of solids layer: Depth of scum layer: Dimensions ofI' / �/ Materials of construction: � t Rd(' Indication of groundwater' ow(yes.or11�no): � Comments(note condition of soil,signs of hydraulic Mun,level of ponding,condition of vegetation,etc.): � �1 PRIVY: (locate on site plan) S C' Materials of construction: ej/(O� Dimensions: Depth of solids: Comments(note Condition of soil,signs of hydraulic fai mr,level of ponding,condition of vegetation,etc.): , irk Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) �� Property yAddress: �� � � Owner. w 9fvkl Cy 42,—C-1� Date of Inspection- i ! Ili SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet_Locate where public water supply enters the building. Li l<< law o � 0 Lar� �C.� v S AA A a O i • l Page 11 of i 1 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE_ 3HSPOSAL SYSTEM INSPECTION FORM PART['C VOW SYSTEM INFORMATION(continuesProperty Address:. (J 4 Owner: tiJ 'S c r Date of spection: b l SPy E EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water cQfeet Please indicate(check)all methods used to determine the high ground water elevation: tt/Obtained from systeut design plans on record-If checked,date of design plan reviewed: f/ Observed site(abutting property/observation hale within 150 feet of SAS) LChecked with local Board of Health-explain: Checked with Iocal excavators,installers-(attach documentation)' USGS dataWw-explain: Yo st describe how you established the hi� gh ground water elevation:�• 06 I - • r I , LOCATION SEVAGE PEOVIT GO• INSTA` LLEEWS 0AME 8 ADDRESS ate._ 00 OVUM - DATE P EnMIT ISSUED ' DATE COMPLIANCE - ISSUED �� ��, � 1 "`�� � "'-- 7 � � � _•}�.. ~ �, 1 ��� ( �- i� \ � �� �� I� �. , . ►� ol. q .� � r . 7� � � � �� � �d. O1 Fss...$...5.00......... !Y, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH n� v' ................:...TQJ.- ...........OF.....Barnstable.......................................................... ApplirFafion for Disposal Works Tonstrnrtiun thrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 632-•-•--•--• .................•-•-••......- Location-Address or Lot No. Francis Lal Leine.........................................................: G$.. t9xlg.V �' .DI...,...�en l�axYi�].�.,...1�1....42.63Z.. Owner Adaress W A..&. B..Cesspool_Service 128.-B shop._Te �4'.,_.Hyazuii ,.. ......Q2691..... -•--•............ Installer Address Type of Building Size Lot.................... .....Sq. feet U Dwelling—No. of Bedrooms..._..�........................ .....Expansion Attic ( ) Garbage Grinder ( ) ► � a p Other—Type Type of Building ............................ No. of persons ......__.._...... Showers ( ) — Cafeteria ( ) G" Other fixtures .-----•-•--••-•-------•--•-••--. - ----------------------- WDesign Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 1 x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. A, Seepage Pit No-_--_------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--_---_______-__-_--___. fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------------------------ --•------------ ------------------- ..--- ---- •---------•--•------•------------------•---------.... 0 Description of Soil....................Sand -•----....----•----•.................•----------••------------------------------------•---•---------------------------------...........-•- x W x U Nature of Repairs or Alterations—Answer when applicable.............installation--of--a_-1,OOQ••g�a,�Qma.-gxe- cast, stone packed leach-pit •(overflow_ .................____ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'ITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar lth. Signe .` .... . :.... �"G`:L�. 6/17/80..__.._.._ J Da Application Approved By--- ---� ....-- ... --•-.....-----•........ 6/1��80._.... •... Application Disapproved for the following reasons:.............................................................. ---•--•--•--------••--••--•--Date.............. ---•.........................•----•-------•••-•-•-••.-•-•------•.--••-•-----•-------•---•......-----.•-- / Date Permit No....................80- ... Issued--------------- 1'j..80 i —. Date - THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...............................TF..... stabl®.......................................................... Applira#ion fox RiipasFal Works Tomitrn.tion,, amit Application is hereby,.made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at -68 Long Cerntervil......_::.......: ... .......••••--.._l...............- -•----•--••• --.......-------•---•-.._........._......•---•-••--•-•-•--•-•••-••........._.._...:-•--•.....••-- View Dr. e 0262 . F Location-Address or Lot No. ' _ �i� Lahteiaie ••••--•--•-••-• 6... Owner Address A � a Cesspools� a® g Bishops a � 02601.- -- -- . •--------------------•---------.....--••-•-- • _.... .. •-• __a GQ Installer Address Type of Building Size Lot____ ________ _________Sq'. feet Dwelling—No. of Bedrooms............................................Expansio Attic ( ) Garbage Grinder ( ) 'k Other—T e of Building _____... No. of persons._.___�__________________ Showers — Cafeteria Pa Other fixtures ----------------------••------•- • WDesign Flow..........................:.:...............gallons per person per day. Total daily flow..._-.______.________.__-__._.._.___________gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth.................. xDisposal Trench—No............_________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ff.` Z Other Distribution box ( ) s,; Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,aa Test Pit No. 1............ minutes per inch Depth of Test Pit____________________ Depth to ground water........................ G=1 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd ------------------------------------------•--------•••-------------._..._........................................................... D Description of Soil....... , 38>rnd --------------------------------------------------------------------------•----..._....------------ U --••-••--------------------•----------n = ----------------------------------•--------------------------------------------•------------------.....--•----------........----------------- W U Nature of Fepairs or Al er ti'ons ` Answer when a licable._.._.___ i ......................................tla n f __1.90�__ wed oh pit kovelo> �. Agreement The undersigned,•ag'rees;to install the aforedescribed Individual Sewage Disposal. System in accordance with the provisions of TITfZY 5'of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board lth. 1 6/�9� .. ,� Sign .-- �---� -• '•-- �-��=� ;t_:.._ ,;..---------•---- •--•-•-------- Application Approved By.......,j�f- ---- -------= ---- .. .C-�__��__..._.....------... -----------6/ ---------- Date Application Disapproved for the following reasons:-........................///--------------------------------------------------------------------------.....------ ----------•-------------------------------•••---•--•--..----------------------------•---•-•----------...---•------------------------•-•-----•-•-------------------------------------•------------------ Date Permit No...................$®........--••--------•---••-•••_. Issued---------------6/1°./8© ........................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T B stable ........O F............:........................................................................ Curd firFa#r of TontpiiFanrr ` T I TO CERTIFY Tha di idual ewa e Dis1 sal Si stern constr ted ( ) or Rep•it ($) A esap®o�t Service, pie ias se e• ally s, KA 0 1 ®- ??5- 2 by.... --- _:.•__- ------------ - ---------------- --------- ------••----•----------•- •------------ 68 Long View Dr., Centerville, 14A 026 ta" MCJS Lahtel ® ........... = - has been installed in accordance with the provisions of TI 5 of The State Sanitary Code as dg sriby in the application for Disposal Works Construction Permit No........_ ___'2.7_j____.______.____ dated---__.____:_______®__?'�_____ ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCT ON SATISFACTORY. 6/1?18© j DATE...................................................................................-------••••-----••----..._. Inspector........... J - 4R THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town stable 80- 'I ........................::................OF.......,............__....,_.... .�.. ....._.._.._...._.... $- 5.00 No............�.:....... FEE................ ........ lQA� CGe pool c n apeTerrace, Hyannis, lA 02601 Permission is hereby gra tv------------------------------------•----:_--_.---P--------------------:.................................................................----- to Const t ra os 1 al SJ�'�' 3�0� t�i '��., ��'t� ., �2 � �- Cis Lahteiae atNo----=---------------: ------._._._....._..----------•-------•---------=------------------------------------------`---------------..._..-..-•------- S reet, ; — 6/17/80 as shown on the application for Disposal Works Construction P , t No ___ ____ Dated__________ _______________________________ 6/17/80 Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1 HYANNIS. MA THIS IS A COLOR y ofo N LEG/��n L�L_� END 7O ��� f�l A� O O SEPTIC COMPONENTS I c 71\ ELEVATION FLAN 'wp, c <o 1500 GAL ® 9,TSP COQ USE a1 . fn n p z 9 N SEPTIC TANK 0 \ 7► ti3. �5 V TIL 0 TiEs o N 9 9� _ a 15 'OT FULL DETAIL IS BEST . aDl _ -___ 1 m '� NOT 9 • LEXISTING EACH PIT/ 0 5.56 _ _ =j VIEWED IN FULL COLOR O j WATER LINE �� 1 ' v� 9y` SCALE '� BULKH CESSPOOL 1 \F.1j WATER GATE © _ DISTRIBUTION BOX O 1 PA VED OR/VEI,yA , ST Gas LINE �2��y LOCU << _ S o Y OVERHEAD WIRES va n TEST PIT. O 0 o � 4 UTILITY / POLE / 70 12-P ' i7 V MINIMAL DINO\0 I 18-0 ib-O GRA 1 4,' p PROPOSED w 1� G t Q � � p 12-0 \ v 35 ft ! I S1ncj�,, 7 • �l 0 144 ! W 71 \ "� -'- - O O AREA Lo I O o`ib-o 10 DEPICTED �g T I 155.56 0 - J 12 P �n Q I 1 0� QO nn„ I_ �/ LOT o l - � V ®� o 17 70 0 m 1N d 72 PROPOSED SOIL _ I O �® CLEANOUT I ABSORPTION 1S7.S8. S YS M o A / o _► I TE CLEANOUT ►8-0 } -SEE DETAIL SCALE: NO TES 18-0 ' ON BACK .. lin = 100ft ►8-0. � w 1 51.71• INSTALLER MAY MOVE SOIL ABSORPTION , 1 o 1 ' .SYSTEM. UP TO FIVE (5) FEET LATERALLY 72 -.-. i 12-01 IN ANY DIRECTION. ELEVATIONS SPECIFIED 57:58 . ON FLOW PROFILE MUST BE MAINTAINED. Q 1 pL� Q Nl EXISTING CESSPOOLS ARE TO BE PUMPED 71 GARB ZN OF Moss �� OF M4Ss i AND FILLED COLLAPSE ANY. CESSPOOLS ►6-o - G R 9ry 9ry SCALE: l in _ 2 0 f t l DAVID DAVID MADE OF CONCRETE BLOCK. O/ OT D.D. A OWED �+ COUGHANOVIIR H COU cn GHANOWR INSTALL CLEANOUT PLUGS TO GRADE- AS O 20 40 70 SHOWN ON PLAN. O IO 20 No. 1093 No. 461 TREE REMOVAL AT INSTALLERS DISCRETION. PRINT ON 11 x 17 PAPER (LEDGER) �FGISTER�� "��°RO 1 1Pr1 /( At O� TOP OF 'FOUNDATION AI_C PIPE TO BE S.CH. 40 PVC RAISE .COVERS TO WITHIN 1 AND TO PITCH AT 1/8 in/ft MIN /► ► EL _ 73:29 +- 6 In OF FINAL GRADE •�) 71.0 70.4 1 o l 260.. ��^^ 270 . ///��� �' /��9 //� .THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM l`��JJ O DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING DDeBOo�{ MAX AREA = 29.389 Sf f SHOULD CONSULT WITH A SHEDS. FENCES OR SWIMMING POOLS. OWNER . � MASSACHUSETTS REGISTERED LAND SURVEYOR. ' USE H-20 3 f t PLACEMENT OF ADDITIONS, INSTALL 67.50 i LAND COURT PLAN 28749-8 SEWAGE DISPOSAL A) 70.79 1500 GALLON .. PLAN BOOK 616 PAGE 77 ► - SYSTEM- PLAN BJ 70.87 -0,�4o°a°oc r PRECAST o°a b� � TO SERVE EXISTING DWELLING 0 67.75 °����`��` ° DRYWELL o0 $oo4a,Ia Assn MAP 251 Pa 71-1 EXISTING SEPTIC TANK �66.88 "°°°�° MICHAEL AND.. .KATE 0 0 °.°o° o000, in SEE DETAIL ON BACK STONE �OUL .ABSOG�3PTZN -+,' • OWNER(S)r O E RECORD^� All 10 68.00 67.05 BASE 66.75 SYSTEM -SEE DETAIL 68 LONGVIEW DRIVE 6 in STONE BASE 27 ft 5-12 ft ON BACK S1.7I P.O. BOX 1265, Ao Ness MA a) 67 ft NO GROUNDWATER BELOW WEST-CHATHAM, MA. PROPERTY-- b) 20 ft 64.75 MOTTLING.OBSERVED _ 56.93 02669DATE: JUNE 20• 2014 _ .loer ETE-3830. _ _ 508 364 0894 Pa 1/2 y SOO IL TESTS LOG " mm mom 1500 GALLON SEPTIC TANK; SOIL ABSORPTION SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE #461 S YS TEMCONSTRUCTION DETAIL WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. USE SHOREYI I I USE SHOREY. •• TEST PIT 1 NO GROUNDWATER ENCOUNTERED PERC AT 58 In - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER D UNIT NOT DRYWELL 33.5 ft I In INCHES HORIZON TEXTURE (MUNSELL) MOTTLES TAPER TO M 70.75 0-8 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE �r- SCALE M41 8-28 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE � c U? 68.42 28-164 C MEDIUM SAND 2.5 Y 6/3 NONE LOOSE S f t- EE1 v N co 57.08 0 8 In 00w TEST PIT 1 NO GROUNDWATER ENCOUNTERED _ STONE M 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 4 ft 8.S f t 8.S f t 8.5 f t 4 ft INCHES HORIZON TEXTURE (MUNSELL) MOTTLES a 70.60 0-8 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE �J 8-28 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE 10 ft-6 SOO GALLON DRYWELL 68.27 MEDIUM SAND 2.5 Y bl3 in DIMENSIONS & DETAIL INSTALL ONE INSPECTION 28-164 C NONE LOOSE 5 6.93 USE ® INCHES OF FINAL GRADE INLET CENTER OUTLET H-10 & INDICATE LOCATION COVER COVER COVER UNIT # ON AS-BUILT 01@0N A L�l�JL7ATN O N �3 /N DROPFLOW LINE DO 33 FROM �pDO in DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPD BUILDING lO in - 14 TO P DrD D-BOX DO'0 SEPTIC TANK: 440 GPD X 2 DAYS = 880 GALLONS 48 in In INSTALL NEW 1500 GALLON SEPTIC TANK. LIQUID GAS 5� DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. LEVEL BAFFLE 1p2 in SOIL ABSORBTION SYSTEM: CROSS SECTION VIEW THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE AN APPROVED GEOTEXTILE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES OVER STONE PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. 6 in STONE BASE THE 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY SEPARATION BETWEEN INLET & OUTLET QDEPICTED BELOW CAN LEACH: TEES NO LESS THAN LIQUID DEPTH 28ii 24 in o 3/4 In TO in DEPTH EFFECTIVE 1-I/2 in GRAVEL BOTTOM AREA = (33.5 x 12.5) =418.75 sq. ft. CROSS SECTION VIEW SIDEWALL AREA = [2x(33.5+12.5)] x2 = 184 sq. ft. TOTAL AREA = 602.75 sq. ft. 46 in 58 in 46 in FLOW CAPACITY = 0.74 x 602.75 = 446.03 gal/doy USE •• 150 in INSTALL A 33.5 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED DISTRIBUTION BOX ►: • ALL STONE TO BE DOUBLE WASHED AND BELOW. FLOW CAPACITY = 446.03 gal/dayWHICH EXCEEDSDIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL FREE OF IRONS. DUST AND FINES IN PLACE THE 440 gal/day REQUIRED FOR A FOUR BEDROOM DESIGN. AND DETAIL FOR 2 FEET BEFORE PI TCHING DOWN 12 in C MIN U-) FROM S S —� -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE n1 TANK u� U TO P STARTING WORK. a SAS ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM O O REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC �o1S CODE (310 CMR 15). 6 in STONE BASE -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND �� UTILITIES BEFORE EXCAVATING FOR SYSTEM. 2I ;n 2 CROSS SECTION VIEW -ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC PUMPING OF THE SEPTIC TANK. 181-SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. SEWAGE DISPOSAL SYSTEM PLAN1168 LONGVIEW DRIVE .RYANNIS. MA DUNE 20. 2014 ILEIEZ3830 PG 2/2 ARCHITECT: r SCHEDULE OF DRAWINGS GIAMPIETRO ARCHITECTS dLul y 6 CI(. F 354 Gifford Street TEL 508 540 7400 - T1 TITLE-SHEET . z 2 Falmouth,MA 02540 FAX 508 540 0220 r1 .0) ' AB1 EXISTING. ELEVATIONS BUILDER: ..r AB2EXISTING FOUNDATION/FIRST FLOOR P 1 _ Al ELEVATION/DETAILS ``s . FULL H O U S E H O M E '�IMPROVEMENT A2 NEW FOUNDATION/FIRST FLOOR PLAN U BUIILDING &'REMODELING - 1\ & DETAILS - P.O.BOX 1032 TEL 508 348 4018 A3 FIRST'FLOOR/ROOF 'FRAMING PLAN < SOUTH YARMOUTH, MA 02664 FAX 508 258 8427 & DETAILS � oLi 11......... U. z - d- z Q > ALTERATIONS TO: U z H FREDERICKS ' RESIDENCE w0ou 68 LONGVIE/V DRIVE, A .. AIL DRAWDJGA AND'WRPI'[ET.1 UATFH2IAL ARH TBE ilOIID - - - - CENTERVILLE,. MA - DO NOT MA" HEpDUPIdtlATE�D,I?UBIi16 D CL( P.tl�.'ADNHD . 118H SCALE FROM.USED WF`.T'D'°� I1DSS WRITTEN CDNSFII4R OF DRAWINGS ABBREVIATIONS SYMBOLS AB ANOHOA BOLT DST. DETAE. - FT FOOT VAX MATFBAI. PAR[.. PJAM T.OE. TOP OF FQUNDASNN NORTH ARRO*' INTERIOR EIEVAaON *Emm*HIN tl1°ffi . -AFP ABOVE PADSH FLOOR DA DIAMRIEIT Pm. POOIBItl MAY' If18NIIM PL PLATE T.O.A. -TOP OF*AIL NIIYBBRd INDIdAR HLEVATION' - V .AOr AdouonOAL TIfE DnL DDIEN010 M. FOUNDATION ADSOFL 99MUNIAL PIAE. .PLASM T MAL, AI NUYH�@ LH1'AM MEFATIO PROPERr1 I1tt16 ALUM a DIZEM OR D00R FTAAi F9RRm(INO) 'INSOL DIEIRATFed PLAN. PLABad LANEHM rYP.. TYPIOAL _ WWRON ININdATUR TESTER tHE ORA*INtl WHmE tHE _ANOO. ANODIlED. DR OOUBI8HfIN0 d tlAE - INT. DaffiUOA PIHO. PLID®DId UNPIN. UNPDNB® ` IN TOP HALF OF O"00. DmItlATEE - EIAwAaONs AliB IODATED — PROPER LINE � v N O� ADARBl�NT .DARK DRA*ER aALV. DALVAPRZm n- JOINT Prm PLFFOM F.I.F. VARY IN FIELD ,"zCCiJJ-P T1IE SPEOINId BF:OaON. THE NOYBBR PIAN OR EEOIION O(s) DR1*Md(0) 44 dENERAL OONTRAdmR idll. LAIDNASB Q.T. QPU TJE. SPD VCT VINYL tlOMPa.R1ON 1TIE DNIOATPrl l'AE Dec.ON RNMCII'' CONCRETE- _ _ - O BIT H[rtFAINtOUS DP DRINKING FOVMAIN oL OlAss/dLAEDID LAv. "VATDAY- V ®R BLOCK - D* DRNWA LHA OB ORADINd L LmOm - REQ'D REQUIRI D VHO vINyL WAAA mM Nd - THB 9EOnON APPEAL ���,d SN JK-PLANS OR sEOTIONE 5 aI%d BI rms!d a E All ION OYP.Ba OTPSUR mom MFR MANUFAOTURm W. AEFNOMOMR SO *AM Cml$I CONCRETE NID(D( }-i "d^ 110, BDTT HormM EL ELEVATION NDw NARDBOARD K.O.-. MASONRY OPERIM REF. REFDHONs *U►. FINDpB 45.5 NEW SPOT EAEVAUON `® y FLARE OR BEOnONB - - O O B.O.A. BOTTOM OF*ALL ELEv. EtEVAroR son HANDROOD MAT. YATERUL. R MmL * *DlE/*IOTA 49.9 E EXOMd SPOT ELEVATIOR. - .. �I .BY. BEAM EVER ZkOmomm NVAC HEARNOSENTDATRAO. MAZ MAMNU61 - B.D. ROOF DRAIN �/ *RA ®- PLY*OOD.-DAME SOME �I 'LO J u�i vt Brad. BVIt11INd - EQ EQUAL - @ AIR OONDMONSW MEOH. NECHANNIAL M. ':ROOM ' .w/e ,,,SOW ✓49 NEW MM'ODRS _ q CPT OARPET EXIST. EB=d m*R HARDWARE M. Y.." R.O. RWOH..d West *HDRD iRDS-WON ���49 DRmNO donmus �.��f .MID.LARdE SOALE ^^f O O CBMT OASEYENT or tXd. HOT MoRT MTD. YODNfm salt pomoo *D MOD. 2- EIEVATIDN MARK ® ROUON LU1®BR CK tlAUa((INtl) V WARRIOR JOINT H.M. ROIJA*METAL NO NUMBER Sam m. BDI®ULE Cul OEDINtl .`rXP ExPoom INSUL INSULAnom NON. NONRIAL SPED. sPEOMMnONS �_ COLUMN dOORDINA1tS1 @ l((I FYlIINE[LDYBER .Gras Orom M. IQTmmR INT. INTADOR N= NOT w dONaGOr sm. STANDARD Lj 'r i !!l Cp REFERBNCE tlRm LHO�. DISOIAMON-Rltlm COL WILD'UN Fro FWISBPdd R tbwT N.S.S.� Nor To WAIF - � �@POLB - � IOI mOM NUMBER . cifu WNORETE FA FDIB ISHM LAM. LAMINATE o a. ON U@REIt - - - CYU. OaNdHP.TB NA.ONRY UNIT F.B.O. FDANIBFffiD BY OHRm LAV. LAVATOSY. OH aV6RB61D ow -SUSPEND - O INSufAaON-BAIT. � 5 oDNoT. WNETRRon.N PS PIKE.BETINtlU18FINR L IENtlm .0. IM"A THE rem R HUF�EN - $`J D00 CDM. WIMMUOUB FL FLOMBONO) MPS MANDFACMIM Pm. PAINED T@R TOP@BCROM ® EARTH CJ 'CaRTSOL/O.Wrx.raw FIBOR FLUORESCENT Y.O. YABDNAY OPxdsdd PNL PANED. T@o re au-OmOVE O *Dmw TYPE J COMPACT ONdVEL• f h 1 . *AID TYPE GENERAL NOTES EIHAN.L�A.. ROVIDE)J°PLYTNDOD PANELS TO PROTECT 4. The General Contractor shall verilyall-dimeasionE.at the.site and nhail notify the 16.ThB'deneral Contractor Shall submit.Co the Architect for review and approval,.shop drawings AND ODORS FROM WIND BLOWN DEBRIS. Architect.of any discrepancies before proceeding with the Work or purchasing materials for all manufactured structural elements (is.: steel beams & columns, LVL,beanie, trues jei9te, TO BE LABELED AND STORED ON 1. The General Conditions state that the Contract Documents are complimentary. or equipment. Verify critical dimensions in the field before fabricating items which must -rood roof trusses, steel joists, etc.) in accordance with 780 CUR Section 116.2.2 eatitied PER 780CMR CHAPTER 5301.2.1.2 2. Provide the services of a Massachusetts Registered Surveyor to layout structure on site fit adjoining construction. "Architect/Engineer responsibilities during construction". DRAWING TITLE: Bud establish existing elevations.Elevation of finished floor shall be established by 5.All detail. are typical unless Otherwise noted and are not necessarily shown in the 17.The General Contractor shall notify the Architect-/Engineer of required inspections at least - 2 Architect with elevation information provided by Surveyor. Documents at all.locations where they occur.- two (2) days in advance. - 4NL2 16.'Ail wBrraatieo. guarantees and service maintenance agreements shall commence with IS 1 3. The Build al Contractor is responsible for all the work. - - 8.The Architectural Documents govern the location of all Electrical and Mechanical items A. Build and iaetail parts of.the Work level, plumb, square and in correct poeitionr installed as a part of the Work. � � the issuance of the occupancy permit so that the Owner may receive full use DI�the item far the guarantee or warranty period 'DRAWN BY. �� B. Make jointo light and neat. 'U such a impossible, apply moldings, .enfant or other 7;E>datin .items which are not to be removed and are damaged or removed in the course 19.'GENERAL WORK TO BE PERFORMED AS PART OF THE GENERAL CONSTRUCTION: ' 'joint treatment as directed by Architect. - E g - - of the Work shell be repaired Bud replaced 4n like new condition without cost. openings �� C..Under potentially damp conditions, provide galvanic insulation between different A. Seal cracks and Sin to make.the exterior skin of the.building tight to water'and CHECKED BY:8. Existing surfaces disturbed during the course.o[the Work shall be reconstructed and air entry. metals which.are not adjacent as the galvanic scale. finished to match adjoining surfaces. Patched areas shell be finished is such.a manner B. Provide adequate blocking,.bracing, nallero, fastenings and other supports to inetaD - DATE:. D. Apply protective finish to parts of the Work before concealing them. For example, Bs to provide a visual and structural continuity across the entire affected`surface. 7/2/14 paint door tops,.bottoms, glazing stops, glazing rabbets, Bud hardware cutouts before parts of the work Securely. Blocking, bracing,nailer$, fastenings and other supports- - 9. All voids created or surfaces disturbed resulting from cutting, removal or installation of shall.be of a type, REVISIONS: 7/3/Y4 hanging doors, and paint corrodible mounting.isles.before installing parts aver them. elements s art of the Work shall be filled and finished to match adjoining construction. environmental conditions ore�H deterioration or as the result of - - E. Where accessories a required in order to install parts of the Work in unable farm ' P ] g.. - - and to.make the Work perform properly, provide Such accessories. if special tools 10.Except as provided in the Documents, no Structural member or element shall be cut C. Perform cutting and patching for all trades. Patch holes where ducts, conduit, pipes - - are required to maintain, adjust and repair products,provide them. without written approval of the Architect. The General Contractor shall coordinate all and other products pass through or are being removed from existing construction.F.Follow manufactures s instructions for assembling,installing and adjusting products. cutting and shall advise the Architect of any potential conflicts with new or existing D.Provide chases, furred spaces, trenches, covers, pits,foundations and other " Do not install,products in a manner contrary to the manufacturer's instructions structure. construction required in conjunction with the Work. if Such construction is not- - - unless authorized in writing by the Architect. - shown on the Drawings, coordinate with Architect for sizes and plea merit. - G.-Ad-uat and operate all items of It. Demolition work shall only be carried out once all temporary shoring and bracing is in E.Provide and coordinate access doors and 7 p -equipment, leaving them fully ready for use. panels as required for access to equipment H. The division of the Documenta into Architectural, Structural, Electrical, Mechanical,. Place.Removal of all temporary supports shall be completed only after new work is Secure requiring adjustment, inspection, maintenance or other access and ad required for access PROJECT No. I407 Plumbing lumbin end Civil components and complete. to g o .anent$i.not intended as division of the Work by trade or paces not otherwise accessible..Such as attics and crawl apace.. otherwise. 12.Ali materials, equipment and workmanship shall conform to the requirements of F. Check Drawings and manufacturers' literature.for requirements for bases, pads, and L Provide utility installations from lot line to house including underground electrical, - authorities having jurisdiction of the Work.. other supporting structures. Provide ouch dtruetures. Remove Supporting structures' SHEETNo. - water, to, and CATV to comply with all local codes and requirements. - aao..i.t.d with removed equipment and patch remaining surfaces. - d. Concrete shall have compressive t strength of 30oc p.i 028 days for walla and 13. All.materials and equipment shall comply with the Occupational Safety and Health Act, d.of pert of one year warranty specified in the General d Conditions, repair cracks and including all amendments. ' 4000 psi ® 28 days for slab work, and reinforcing rode &woven wire fabric (WWF) � other damage which occur as a result of settlement and shrinkage during the First year , par drawings. Where noted, provide hard steel trowel finish on Blabs. 14.All materials and equipment Shall conform to the requirements of authorities having after Substantial Completion. - _ - Dampproofing Shall be factory manufactured semi-mastic consistency from asphalt$ - jurisdiction regarding not using or installing asbestos or asbestoo-containing materials. - and mineral fibers, and installed on all walls and footings. 20: All work shall conform the applicable Sections of the Eighth Edition of the Piero for decks shall be concrete filled�oaotube forme. � 16.All paint used on all products and esoemblies shell conform to AN.S.L-ZB8.1, � _ Massachusetts State Building Code (International Residential Code.for One-�& Specifications for Paints and Coatings Accessible to Children to Minimize Dry Film Toxicity. Two-Family Dwellings;including Amendents). , ®® N®T SCALD FROM DRAWINGS I � � u e 7, z w Z �,- lpl All z �a -$��FjFST MOOR 0 5� IliIIIllilll SHINGLES TO HATCH W r` 7 EXISTING EXPOSURE F v ^ FRONT ELEVATION RICa �IT ELEVATION �(y cW SCALE: I/4" = I'-O" SCALE: 1/4" P-o' Do U � o - V In N vN E L�R, LEFT ELEVATION BACK ELEVATION I DRAWING TITLE: SCALE: 1/4" = 1'-0 NEW SCALE: 1/4" _-I.-0n C LC N/G°MNS &DUAL _ - DRAWN BY: �g CHECKED BY: . - - - DATE: 7/2/'4 REVISIONS: i P 14�7ROJECT No. . I. AND EN 400 SERIES SHEET No. �1 WINDON TRIM DETAIL SCALE:. I•.I'-O' NOTF,SEE ELEVATIONS FOM LOCATION Al OF 3 C®S _ Z EXISTING DECK FIRST FLOOR WALL LEGEND W I N D 0 W & D 0 0 R S C H E D U L E y z z Q TAG: ' 66'-6°(EXISTING NEW WALL U OVERALL) � � TYPE:. DOUBLE HUNG WINDOW EXISTING WA L L UNIT SIZE. MFR.: ANDERSEN 400 SERIES C I - PROD,N0, TW24310 A4 NEW STOOP BU ING; _ _ m WxN '-6 1 6"X 4'-0 7 8 tb DEMO WALL R.O. D 3065 ;BUL EAD EXISTING 3'-2' 4'O' REMARKS: INSTALL PER MFR.. RELOCATE OUTDOOR _ q DTM. 3 'I INSTRUCTIONS. m ~ I O EXISTING S SNOW ER _ MATCH EXISTING TRIM T9y A EXISTING EXISTING EXISTING v °yi• pp� "' - _'--- �- ------ o-. -- y - - 2'-5 5/8'- < \ 0 ® (D © _ - LEGEND UNIT SIZE: O M TYPE: 'SIDE DOOR ON PROD.NO. ELECTED RYEOWNER SITTING. I NE IC T NG o Qs SMoKE DETEcTER AREA " w I.G i EXISTING - - BE O ROOM E) SMOCE/CARBON m ow, SEE PUN I' X DETECTOR REMARKS: INSTALL PER MFR9. KITCHEN _-- �. iuic�H o°mNc TRIM U I IN—LAW b i ---- VA z x e { PANTRY 0 -� BED O qq IN - O TYPE: DOUBLE HUNG WINDOW o CLOS ® � - - TAG: 6 �FN�••I 3068 --- >y�j UNI SIZE: MFR.: ANDERSEN 400 SERIES O Ir�" I 1"1 (j PROD.NO. IW2442 WWW^ m EXISTING O v \m R.O. WXH '-6 1 6"x a'-a 7/8- E) z10k.. q_1• e'-o° EXISTING �/ p FULL BATH m _ 2565 aba _ FIREPLACE %'V �/© a m Q REMARKS: NSTALL PER..MFRs, 11 r i w Q INSTRUCTIONS O 6 I-y .o L LAUNDRY LIN O m a 3 EXIS G_ 2-g 5/8 ALF BA m F�-U/{ z H EXISTING EXISTING O 3' ' EXISTING LIVING 5-I ° 'ASHOWER C551BLE - CLOS Z - ROOM IN Q 00 U B D R,O OOM FOUNDATION WALL LEGEND m � .. _ EXISTING - EXISTING - C - NEW STUD WALLS EXISTING CONC, FOUNDATION WALL EXISTING STUD WALLS =-- DEMO WALL 28'-6°(EXISTING) 30'-0°.(EXISTING) - _ 66'_6"(EXISTING): ,. � �[V NEW FIRST FLOOR' PLAN OU SCALE: 114" II-On vi o uo wr ie- i U, - m r~ EXISTING FLOOR CONSTRUCTION INSULATION TO REMAIN - - ^` �• t °•?�,;. 2'RIGID. INSULATION 0 ' ' EACH BAY di• - 2 X 4 STUD WALL I r________ _ NEW - - 1L' 1/2'.NON PAPER FACED BLUE BOARD 3 1/2'FIBERGLA55 s A E/EXERCISE b X 3 STRAPPING SOUND BATTS UNFINISHED a FINISHED BASEMENT + ROOM /%�• •• /4' PLYWOOD I/2 NON PAPER 1/2'.NON PAPER z , DRAWING TITLE: \j\\ BASEMENT RAGED BLUE BOARD FACED BLUE BOARD f I D EXISTING U EXIS NG -- Ns UTILITY GAME V�IC�I G�VW�4/ CONCRETE \ 2 X 4 STUD WALL V - w 1 TI S AIRS 4 B TO R CLOSET ROOM ? FOUNDATION ppNIM1 np I�pPUS FOUNDATION \ 24"ON CENTER ? ENGINEERED HARD `- IrOMIIV`DD QI2�IIS��/OO�UV WALL 1/2':NON PAPER FACED BLUE WOOD APPROVED - ly �Dl�r.p/;;QQLSSS .` BOARD _ - .FOR BASEMENT .. 2'RIGID INSULATION.JOINTS TO -° 5 1/2°SPEED BASE INS TALLATION5 tr - - -- 1 r--r r--T r- r - I - r .� � DRAWN BY: �l w FINISH SPACE ONLY _-- _ T- _ _ _ �T r m BE TAPED.GAPS TO BE FILLED U -_-1_— -_ '•""� ~ CHECKED BY: L--J —J l-- L J L W Z.F�✓ WITH EXPANDING FOAM CAULKING � � I I �--- _ EXISTING' g_T° HAL ! 6'-6 2 X 4 PT BOTTOM PLATE - - - m FIREPLACE o BATH - o DATE: 7/z/14 I . 2: I/2°PLYWOOD- w. 6- _ m I/2°SPEED BASE FINISH SPACE'ONLY " e A2 - NEW EGRESS REVISIONS: 7/3/14 1 'XPS FOAM WINDOW. g IN ERIOR WALL DETAIL NEW BEDRO/ 26 L P O- _ D EXISTING ENGINEERED HARD WOOD CONCRETE SLAB APPROVED FOR BASEMENT - .i� INSTALLATIONS , FOUNDATION INTERIOR o •o Q SCAPEWEL 4862-42 PROTECT No. 1407 m I9'-4" ¢ } I INSTRUCTIONS- SHEET No. A WALL DETAIL x 12 n , INSTALL.PER MF SCALE: 1/2'-1'-0° - .� - g�_qJ�• fl MASTER B TH 1-1 t$ NEW FOUNDATION PLAN A2 SCALE: 114" II-Qn. 28'-O(IXISTING 58'-O'(EXISTING) OF 3 \ CDS 3Nf1LtlN�JIS _ Q en OZZO-OPS 009 :XR1 g \ \ O a� VW HAUFUNaD OObL-DI=S 405:I�.I. 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